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Old 02-17-2008, 08:09 PM   #1
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Default do injection techniques differ per product?

does anyone know if you inject restylane any different from say radiesse or juvederm??? i know like radiesse is thicker so does that mean it has to be injected deeper???

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Old 02-22-2008, 02:49 AM   #2
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Well I know my doctor said that Radiesse or Radiance whatever the heck it's called is injected deeper since it's harder and can clump up. He won't even inject that stuff in the lips even if the customer wants it. He really just uses it around the jaw and cheekbones since those areas its ok to be kind of tougher feeling. I know with Restylane and Juvaderm it can be injected deep or not since it's more like a gel type and doesn't use microbeads that clump like Radiesse doess. The safest bet to go with are these but the thing is they don't last as long like Radiance does. Oh well they'll be something better out soon I'm sure.

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Old 02-22-2008, 02:40 PM   #3
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Injectables basically fall into two categories:

(1) Hyaluronic acid based fillers such as Juvederm, Restylane, etc which are temporary and leave no trace behind once they are reabsorbed
(2) Microsphere based fillers such as Radiance (Radiesse) or Artefill which are semi-permanent to permanent and often leave traces behind after the substance has been reabsorbed

There are other injectables which fall under a different category (such as silicone) but for now the above two categories are the main ones uses in the United States and are FDA approved.

Restylane, Juvederm are injected into the dermis below the wrinkle to lift it out to the desired correction. For lip augmentation they are injected directly into and around the lips. These substances integrate into the dermis and simply binds with water. They do nothing to interfere with metabolism or oxygen absorption. Eventually these substances are completely reabsorbed after 6 to 12 months. These a very safe filler since even if they aren't injected properly generally speaking there shouldn't be any long term side effects assuming a nerve or some other vital structure was damaged during the injection - I've never heard of this happening.

Artefill which is made out of microscopic spheres must be injected within the deep dermis or subdermis layers to prevent clustering of the spheres and also due to the substance not being as soft as the hyaluronic acid based fillers. Radiesse is similar to this with the exception that it's not permanent as Artefill claims to be. Radiesse uses microspheres composed of calcium which is a harder substance too, so you can imagine why it is not a good idea to inject this into softer areas such as the lips.

From my experience, Radiesse does not last long enough to warrant the price tag which is nearly twice as much as Juvederm Ultra Plus (which last 7 to 9 months). Radiesse only lasts 8 to 12 months and can have semi-permanent side effects such as clumping so at this point in time I'd advise sticking with the hyaluronic acid based fillers (Restylane/Perlane, Juvederm/Juvederm Ultra Plus, etc) until something longer lasting without side effects comes along.

“One popular new plastic surgery technique is called lip grafting, or "fat recycling" wherein fat cells are removed from one part of your body that is too large, such as your buttocks, and injected into your lips; people will then be literally kissing ass.”
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Old 02-22-2008, 06:31 PM   #4
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wait so is the radiese in the lips the one that people talk about clumping up and feeling crappy? my moms friend got something injected that did this. I know it was fda approved and everything and it was done by a board certified plastic surgeon but it had bad results and she said there was like clusters tha formed in the bottom lips a few months after being injected and the really sucky thing about it was there was nothing she could do to fix it or take the stuff out. im not going to get that artfill injections or anything that could do that ever.

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